| Center For Natural Medicine, Inc | |
|
1330 Se 39th Ave Portland OR 97214-4322 | |
| (503) 232-1100 | |
| (503) 232-7751 |
| Full Name | Center For Natural Medicine, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1330 Se 39th Ave, Portland, Oregon |
| Authorized Official Name and Position | Martin Milner (OWNER, MEDICAL DIRECTOR) |
| Authorized Official Contact | 5032321100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Natural Medicine, Inc 1330 Se 39th Ave Portland OR 97214-4322 Ph: (503) 232-1100 | Center For Natural Medicine, Inc 1330 Se 39th Ave Portland OR 97214-4322 Ph: (503) 232-1100 |
| NPI Number | 1043317928 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 12/22/2021 |
| Medicare PECOS PAC ID | 3678544814 |
|---|---|
| Medicare Enrollment ID | O20040803000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043317928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 363095 (Oregon) | Primary |
| Provider Name | Jason S Ribner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326298415 PECOS PAC ID: 1456658368 Enrollment ID: I20160321000863 |
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